Brandon Nursing & Rehab Center

    355 Crossgates Blvd, Brandon, MS 39042
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Successful short-term rehab and recovery

    I stayed here for rehab and had a very positive experience. The therapy team was excellent - I relearned to walk, gained independence, and was discharged in under a month - and the nurses/CNAs were caring, responsive, and respectful. The facility felt clean and homey, meals and activities kept me engaged, and the staff kept my family informed; I'm grateful for the care and would recommend it.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.32·(69)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.0
    • Staff

      2.2
    • Meals

      2.3
    • Amenities

      3.0
    • Value

      1.0

    Pros

    • Effective rehabilitation and therapy services
    • Skilled physical and occupational therapists
    • Measurable mobility and independence gains
    • Compassionate and attentive CNAs and some nurses
    • Engaging activities and social programming
    • Onsite dining options including café/bistro
    • Consistent meal scheduling and palatable food
    • Clean, well-maintained common areas and rooms
    • Wi‑Fi and resident personal-device access
    • Ability to personalize rooms with home furniture
    • Supportive social-work coordination

    Cons

    • Inconsistent staffing levels and high turnover
    • Delayed response times for resident assistance
    • Inconsistent bathing and incontinence-care practices
    • Cleanliness and sanitation management gaps
    • Pest-control concerns in some units
    • Gaps in clinical monitoring and wound‑care communication
    • Medication-management vulnerabilities
    • Weak transfer and fall-prevention processes
    • Laundry and personal-belonging handling issues
    • Inadequate family communication and case follow-through
    • Inconsistent meal-service continuity
    • Privacy and surveillance oversight concerns

    Summary of reviews

    Reviews of the facility present a polarized picture. On one side, many families and short‑stay patients praise the rehabilitation program and therapy teams: structured, intensive therapy led to measurable mobility and independence gains for numerous residents, with some discharged sooner and functioning at higher levels than on admission. Reviewers frequently note skilled therapists, effective therapy regimens, and positive outcomes for recovery‑focused stays. Complementing therapy, several comments describe engaging activities, an onsite café/bistro, and social programming that contribute to resident socialization and quality of life.

    Staffing and direct care quality emerge as the principal area of variation. Positive accounts describe compassionate, attentive CNAs and nurses who meet daily needs, support transfers, and foster a family‑like atmosphere. Conversely, many reports describe operational weaknesses: inconsistent staffing levels and turnover, long waits for assistance, and inconsistent bathing and incontinence care. Reviewers also raised concerns about clinical monitoring and communication—for example, delayed notification of wound issues or vital‑sign changes—which can undermine care continuity for higher‑need residents.

    Dining and activities are frequently cited as strengths when experienced: meals served on schedule, generally palatable food, and a range of activities (including an in‑house theater) that residents find meaningful. At the same time, some families reported missed meals or cold/late food on occasion, indicating variability in meal-service continuity that may relate to staffing or kitchen workflow.

    Facility condition and operations show mixed signals. Several reviewers describe clean, well‑kept common areas and recent remodeling, while others report sanitation management gaps, odor concerns, and pest‑control issues in some units. Laundry handling and misplaced personal items were recurrent operational complaints, and there are multiple reports of inadequate follow‑through on family requests or care coordination tasks. There are also serious allegations from a few families concerning theft and privacy invasion; those claims warrant specific investigation through facility records and regulators.

    Management and communication are recurring themes. Positive experiences highlight helpful social‑work staff and receptive administration; negative experiences point to poor complaint resolution, difficulty reaching leadership, and inconsistent coordination with outside providers (home health, oxygen suppliers). These operational and oversight gaps appear linked to both frontline staff morale and perceived accountability.

    In summary, prospective residents and families may find high‑quality therapy and meaningful activity programming at this facility, and some units demonstrate good cleanliness and attentive care. However, the facility shows pattern-level operational weaknesses: staffing variability, inconsistent basic-care practices, sanitation and pest‑control concerns in certain areas, gaps in clinical oversight and wound/medication communication, and occasional failures in personal‑item management and family communication. Families considering placement should observe current staffing levels and shift coverage, ask for written care plans and incident/complaint procedures, review recent inspection records, and request direct examples of clinical-monitoring and hygiene protocols to resolve whether the facility's strengths align with their loved one’s level-of-care needs.

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    Medicare Ratings

    1·/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Brandon Nursing & Rehab Center

    Brandon Nursing & Rehab Center is located at 355 Crossgates Blvd, Brandon, MS, 39042.

    About Brandon Nursing & Rehab Center

    Brandon Nursing & Rehab Center sits at 355 Crossgates Blvd. in Brandon, Mississippi, and it's a place that's been around for people needing skilled nursing care, both for short stays and longer ones, and what stands out is they've got 230 beds, with a team available around the clock, and folks know it for physical, occupational, and speech therapy, even offering things like dysphagia therapy and pain management, so you get a good range of help for stroke, cardiac care, orthopedic issues, and illnesses like Parkinson's or multiple sclerosis, and there's dialysis, wound care, sports medicine, even enhancement therapy, with therapy going on six days a week using equipment they say is like what pro sports teams have. People who need help with everyday life get support too, from bathing and dressing to medication management, and there are extras such as a beauty salon called Caring Curls and a spa with a whirlpool tub, plus a private courtyard so folks can get outside. The Rapid Recovery Rehabilitation Suites have their own entrance and are set up especially for people recovering after surgery or hospital stays, and the place offers comprehensive rehabilitation whether you need to stay for a while or just come and go for outpatient therapy. They also help with clinical laboratory tests, X-rays, dental care, pharmacy, podiatry, social services, and eye doctor visits. Residents get free Wi-Fi and in-room cable, and staff are trained to work with people who have all kinds of medical needs, including wound vacs and respiratory care. There's a focus on strength and balance, plus programs for falls and stroke recovery, and the center is both Medicare certified and Medicaid approved. While reviews average about 2.4 from 39 people, many still know Brandon Nursing & Rehab Center as a healthcare facility with a homelike atmosphere and resources for families dealing with long-term care needs.

    People often ask...

    Brandon Nursing & Rehab Center offers assisted living, memory care, and skilled nursing.

    There are 12 photos of Brandon Nursing & Rehab Center on Mirador.

    The full address for this community is 355 Crossgates Blvd, Brandon, MS 39042.

    No, Brandon Nursing & Rehab Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.

    License numbernh-255106
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    152

    Reports

    102

    Citations

    118

    Complaints

    7

    Years

    01 Feb 2026Revisit
    Verified compliance after a follow-up visit related to a prior complaint; no deficiencies were cited.
    01 Feb 2026Revisit
    Verified compliance after a follow-up visit; found no deficiencies.
    01 Feb 2026Complaint
    Investigated three complaints and found no deficiencies. The review concluded that no deficiencies were cited.
    01 Feb 2026Complaint
    Investigated three complaints and found no deficiencies cited.
    01 Jan 2026Complaint
    Found that the environment and supervision were not adequate to prevent accidents, leading to a resident fall after a wet floor sign was not posted.
    • CFR 483.25(d)(1)-(2); §483.25(d) AccidentsFree of Accident Hazards/Supervision/Devices
    01 Jan 2026Complaint
    Investigated a resident fall linked to a wet floor left unsignposted after cleaning, indicating inadequate supervision and safety practices.
    • 045.21.8Accidents
    01 Dec 2025Complaint
    Found no deficiencies cited in this investigation; however, it remained out of compliance due to deficiencies cited on the 11/18/25 survey.
    01 Dec 2025Revisit
    Determined the facility was placed back in compliance after addressing a deficient practice.
    01 Dec 2025Complaint
    Investigated a complaint and found no deficiencies related to the complaint; noted deficiencies from a prior survey.
    01 Oct 2025Complaint
    Investigated an abuse allegation reporting; found failure to report the allegation within the required two-hour window to the administrator and state authorities.
    • CFR 483.12(b)(5)(i)(A)(B)(c)(1)(4); §483.12(c)Reporting of Alleged Violations
    01 Oct 2025Complaint
    Investigated a complaint alleging physical and verbal abuse and determined compliance with applicable standards; no citations were issued.
    01 Sept 2025Complaint
    Investigated the complaint investigations and found no deficiencies. Noted ongoing noncompliance from a prior survey.
    01 Sept 2025Complaint
    Investigated two complaints; found no deficiencies.
    01 Jul 2025Inspection
    Investigated and found deficiencies related to resident self-determination, safety hazards, and dietary services. The issues included not honoring a preference to be returned to bed after therapy, unsafe transfer practices, inappropriate meal accommodations, and unsanitary food handling.
    • §483.10(f)Self-Determination
    • §483.25(d)Accidents
    • §483.60Food and nutrition services
    • §483.60(i)(1)-(2)Food safety requirements
    01 Jul 2025Inspection
    Found unsafe resident transfer using a wooden chair with no wheels and improper hand hygiene by dietary staff during food handling.
    • Accidents
    • Safe Food Handling Procedures
    01 Jul 2025Inspection
    Found no deficiencies related to life safety and emergency preparedness.
    01 Jun 2025Revisit
    Determined that compliance was restored after addressing prior issues.
    01 Jun 2025Revisit
    Verified continued compliance with Medicare/Medicaid participation after on-site follow-up actions.
    01 Jun 2025Revisit
    Confirmed corrective actions were implemented and recommended placement back in compliance effective 2025-06-07.
    01 Jun 2025Revisit
    Concluded that compliance was achieved and in effect.
    01 Jun 2025Revisit
    Confirmed the operation was placed back in compliance after corrective actions addressed a deficient practice.
    01 Jun 2025Complaint
    Investigated a complaint alleging concerns about residents' rights and quality of care and found no deficiencies.
    01 Jun 2025Complaint
    Investigated a complaint about residents' rights and quality of care; found no deficiencies in this investigation, but noted ongoing deficiencies from prior surveys.
    01 Jun 2025Revisit
    Determined that compliance had been restored after corrective actions were implemented and recommended placing the facility back in compliance.
    01 Jun 2025Revisit
    Concluded that compliance was restored after addressing a prior deficiency.
    01 Jun 2025Revisit
    Verified that prior deficiencies were addressed and compliance restored.
    01 May 2025Complaint
    Investigated a complaint involving elopement, alleged neglect, and nephrostomy care; found multiple deficiencies in supervision, reporting, care planning, and device care.
    • 42 CFR 483.12(a)(1); 42 CFR 483.12(c)(1)(4); 42 CFR 483.12(c)(2)-(4); 42 CFR 483.25(d)(1)-(2)Free from Abuse and Neglect
    • 42 CFR 483.12(c)(1)Reporting of Alleged Violations
    • 42 CFR 483.12(c)(2)-(4)Investigate/Prevent/Correct Alleged Violation
    • 42 CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
    • 42 CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • 42 CFR 483.25(f)Colostomy, Urostomy, or Ileostomy Care
    01 May 2025Complaint
    Investigated complaints found failure to prevent elopement and provide adequate supervision for residents at risk, resulting in a resident leaving the building unsupervised and safety concerns.
    • Rule 45.17.2Residents' Rights
    • Rule 45.21.8Accidents
    01 May 2025Revisit
    Investigated a complaint follow-up and found ongoing non-compliance with comprehensive care plans.
    • CFR 483.21(b)(1)(3)Comprehensive care plans
    01 May 2025Revisit
    Determined ongoing deficiencies from prior investigations remained and the operation remained out of compliance.
    01 Apr 2025Complaint
    Investigated a complaint about resident wound care; found failures to implement care plan–directed skin/foot assessments and delays in treating wounds identified by dialysis staff.
    • 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    • 483.25Quality of care
    01 Apr 2025Complaint
    Investigated concerns about care planning and wound management; deficiencies were identified in implementing care plans and responding to wounds identified during dialysis.
    • §483.21(b)Develop/Implement Comprehensive Care Plan
    • §483.25Quality of Care
    01 Apr 2025Complaint
    Investigated complaints found failures to follow the care plan for removing a dialysis pressure dressing and to timely remove pressure dressings after dialysis for a resident.
    • §483.21(b)(1)(3)Comprehensive Care Plans
    • §483.25(l)Dialysis
    01 Apr 2025Revisit
    Identified deficiencies in comprehensive care planning and quality of care related to urinary catheter management.
    • 42 CFR 483.21(b)Develop/Implement Comprehensive Care Plans
    • 42 CFR 483.25Quality of care
    01 Apr 2025Complaint
    Investigated a complaint and found ongoing noncompliance with comprehensive care plan requirements.
    • §483.21(b)(1)Comprehensive Care Plans
    01 Apr 2025Revisit
    Determined ongoing noncompliance due to deficiencies cited on the 4/01/25 and 4/22/25 surveys.
    01 Apr 2025Complaint
    Found no deficiencies. An investigation determined compliance with the applicable minimum standards.
    01 Apr 2025Revisit
    Found continued noncompliance after a follow-up visit; deficiencies identified in prior surveys remained unresolved.
    01 Apr 2025Revisit
    Investigated a complaint and follow-up found that deficiencies from prior surveys remained after corrective actions, leaving the operation out of compliance.
    01 Apr 2025Complaint
    Found no deficiencies.
    01 Apr 2025Complaint
    Investigated complaints and found no deficiencies.
    01 Mar 2025Complaint
    Identified deficiencies in residents' rights and daily living care, including dignity concerns for a resident with an uncovered catheter bag and inadequate grooming and bathing for two residents.
    • 45.17.2Residents' Rights
    • 45.21.2Activities of daily living
    01 Mar 2025Complaint
    Investigated and found deficiencies in care planning and quality of care related to catheter management and showering practices; corrective actions were implemented but compliance remained incomplete.
    • 42 CFR 483.21(b)(1)-(3)Comprehensive Care Plans
    • 42 CFR 483.25Quality of care
    01 Mar 2025Complaint
    Investigated complaints found deficiencies in residents' rights and daily living activities related to dignity and hygiene practices.
    • 45.17.2Residents' Rights
    • 45.21.2Activities of daily living
    01 Mar 2025Complaint
    Investigated complaints found that a resident's catheter bag was left uncovered in public view, care plans for catheter and showers were missing or not followed, and there was no physician order for the catheter. Multiple residents' rights and care standards were not consistently followed.
    • §483.10(a)Resident Rights
    • §483.21(b)Comprehensive Care Plans
    • §483.24(b)Activities of Daily Living
    • §483.25Quality of Care
    01 Jan 2025Complaint
    Investigated complaints identified deficiencies in staffing, timely resident care, enteral feeding monitoring, housekeeping, and pest control.
    • 45.4.1Nursing Facility staffing requirements
    • 45.21.4Urinary incontinence
    • 45.21.11Special needs
    • 45.33.4Control of insects, rodents, etc.
    • 45.35.1Housekeeping Facilities and Services
    01 Jan 2025Complaint
    Found multiple deficiencies related to an unsafe/unclean environment, inadequate continence care, improper tube-feeding management, and insufficient nursing staff.
    • CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • CFR 483.25(e)Incontinence
    • CFR 483.25(g)(4)-(5)Enteral Nutrition
    • CFR 483.35(a)(1)-(2)Sufficient Nursing Staff
    01 Dec 2024Complaint
    Investigated a complaint alleging neglect and quality of care related to medications and found no deficiencies.
    01 Dec 2024Complaint
    Found no deficiencies related to neglect or medication-related quality of care during a complaint investigation.
    01 Oct 2024Complaint
    Investigated a complaint about neglect and care and concluded there were no deficiencies cited.
    01 Oct 2024Complaint
    Investigated a complaint about neglect and found no deficiencies.
    01 Aug 2024Complaint
    Found no deficiencies cited after completing multiple complaint investigations and follow-up activities.
    01 Jul 2024Complaint
    Investigated four complaints and found no deficiencies on the latest review, while noting ongoing noncompliance from a prior survey.
    01 Jul 2024Complaint
    Investigated four complaints and found no deficiencies cited in this review; however, noncompliance from a prior survey remained.
    01 Jul 2024Revisit
    Verified compliance after reviewing the complaint information; recommended placing back in compliance.
    01 Jul 2024Revisit
    Determined that the facility was placed back in compliance after corrective actions.
    01 Jun 2024Complaint
    Observed unclean resident rooms, a dirty shower room, and dusty hallways with odors, indicating housekeeping failed to maintain a safe, clean, homelike environment.
    • 42 CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    01 Jun 2024Complaint
    Investigated complaints found deficiencies in cleaning and maintenance, including dirty shower areas and resident rooms, with odors and dust indicating an unsafe, unhygienic environment.
    • 45.35.2Bathtubs, Showers, and Lavatories
    • 45.35.3Resident Bedrooms
    01 May 2024Complaint
    Investigated complaints about resident rights and care. Found no new deficiencies during this visit, but noted ongoing noncompliance based on prior findings.
    01 May 2024Complaint
    Investigated two complaints related to resident rights and quality of care. Found no deficiencies cited during this survey, but remained out of compliance due to deficiencies cited on the 03/15/2024 survey.
    01 May 2024Revisit
    Determined compliance with the minimum standards after a follow-up visit and placed back in compliance.
    01 May 2024Revisit
    Concluded the provider was in compliance with Medicare/Medicaid participation and placed back in compliance after a follow-up visit.
    01 May 2024Revisit
    Verified compliance with Medicare/Medicaid participation. A follow-up determined no deficiencies and recommended restoration to compliance.
    01 May 2024Revisit
    Concluded the facility was in compliance with the Minimum Standards after a follow-up review and recommended reinstatement of compliance.
    01 Mar 2024Inspection
    Investigated complaints and found multiple deficiencies in residents' rights, smoking rights, linen availability, and dietary safety/quality.
    • 45.17.2Residents' Rights
    • 45.19.2Bedrooms
    • 45.29.1Safe Food Handling Procedures
    • 45.30.7Food Preparation
    01 Mar 2024Complaint
    Investigated complaints identified violations related to residents' rights and timely incontinent care, including smoking restrictions and left-soiled conditions.
    • 45.17.2 Residents' RightsResidents' Rights
    • 45.21.4 Urinary incontinenceUrinary incontinence
    01 Mar 2024Complaint
    Investigated complaints and survey found multiple deficiencies related to resident rights, grievances, smoking, daily living care, showers, and incontinence care.
    • CFR 483.10(f)Self-Determination
    • CFR 483.10(j)Grievances
    • CFR 483.25(e)Incontinence
    01 Mar 2024Inspection
    Found multiple deficiencies across resident rights, medication administration, incontinence care, grievance handling, environmental safety, and dietary practices.
    • CFR 483.10(f)Self-Determination
    • CFR 483.10(g)(14)-(15)Notification of Changes
    • CFR 483.10(i)Safe Environment
    • CFR 483.10(j)Grievances
    • CFR 483.25(e)Incontinence
    • CFR 483.45(f)Medication Errors
    • CFR 483.60(d)Nutritive Value/Appearance/Temperature
    • CFR 483.60(i)Food Procurement, Storage/Prepare/Serve-Sanitary
    01 Mar 2024Inspection
    Found no deficiencies.
    01 Mar 2024Inspection
    Found no deficiencies in emergency preparedness during the survey.
    01 Mar 2024Complaint
    Investigated a complaint of resident abuse; found no deficiencies cited in this visit, but noted deficiencies from a prior survey remained.
    01 Mar 2024Inspection
    Found no deficiencies during the survey. The review confirmed compliance with applicable life safety standards.
    01 Mar 2024Complaint
    Investigated a complaint alleging resident abuse and found no deficiencies in this inquiry; however, noncompliance remained due to deficiencies identified in a prior survey on 3/15/2024.
    01 Mar 2024Inspection
    Found no deficiencies related to life safety code during the survey.
    01 Feb 2024Revisit
    Determined that compliance was restored and recommended returning to compliance.
    01 Feb 2024Complaint
    Found no deficiencies cited during this investigation; however, earlier deficiencies from a prior survey keep it out of compliance.
    01 Feb 2024Complaint
    Investigated three complaints; found no deficiencies in this review, but noted deficiencies identified in the 1/18/2024 survey.
    01 Feb 2024Revisit
    Found no deficiencies. The agency concluded compliance with the applicable standards based on the information reviewed.
    01 Jan 2024Complaint
    Investigated findings identified deficiencies in care for residents with indwelling urinary drainage tubes, including not emptying nephrostomy and catheter bags per orders and lacking a specific nephrostomy care policy.
    • §483.25(e)Incontinence
    01 Jan 2024Complaint
    Found no deficiencies cited after reviewing five complaint investigations.
    01 Dec 2023Complaint
    Investigated a resident abuse complaint and found no deficiencies.
    01 Dec 2023Complaint
    Concluded no deficiencies were found after investigating a complaint about resident abuse.
    01 Nov 2023Complaint
    Investigated a complaint and found no deficiencies cited. Compliance with participation requirements was confirmed.
    01 Nov 2023Complaint
    Found no deficiencies.
    01 Sept 2023Complaint
    Found no deficiencies after investigating a complaint about pressure sores and failure to notify a responsible representative of changes. The agency concluded compliance with applicable standards.
    01 Sept 2023Complaint
    Investigated a complaint and found no deficiencies cited.
    01 Aug 2023Infection Control
    Identified incomplete reporting of COVID-19 data to NHSN during a seven-day period, potentially affecting all residents.
    • 42 CFR §483.80(g)COVID-19 reporting to NHSN (CMS NHSN reporting requirements)
    01 Aug 2023Complaint
    Determined the provider/supplier was in compliance with Medicare/Medicaid participation requirements after investigation in August 2023.
    01 Aug 2023Complaint
    Found no deficiencies.
    01 Jul 2023Complaint
    Investigated three complaints and found no deficiencies.
    01 Jul 2023Complaint
    Investigated three complaints and found no deficiencies.
    01 Jun 2023Complaint
    Investigated two complaints and found no deficiencies related to the complaints; however, identified ongoing noncompliance due to deficiencies cited in an earlier survey.
    01 Jun 2023Complaint
    Investigated two complaints and found no deficiencies related to them; noted ongoing noncompliance from a prior 4/19/2023 survey.
    01 Jun 2023Complaint
    Investigated two complaints and found no deficiencies related to those complaints; however, ongoing noncompliance persisted due to deficiencies cited on 4/19/2023 survey.
    01 Apr 2023Complaint
    Identified deficiencies in resident grooming care and pest control. Observed roaches in multiple areas and inadequate nail care for a dependent resident.
    • 45.21.2Activities of daily living
    • 45.33.4Control of insects, rodents, etc.
    01 Apr 2023Complaint
    Identified deficiencies in grooming/personal hygiene assistance for residents unable to perform ADLs and in pest control, with roaches observed in a resident room.
    • CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    • CFR 483.90(i)(4)Maintains Effective Pest Control Program
    01 Nov 2022Complaint
    Investigated two complaints and found no deficiencies; concluded compliance with Medicare and Medicaid participation requirements.
    01 Nov 2022Complaint
    Determined compliance with standards and found no deficiencies.
    01 Jul 2022Complaint
    Investigated complaints found deficiencies in the environment due to unclean bedrooms and equipment, including dirty air conditioner filters, rust on overbed tables, spider webs, and dirty baseboards.
    • 45.35.3Resident Bedrooms
    01 Jul 2022Complaint
    Investigated a complaint about the resident environment; found failures to maintain a clean, homelike environment in multiple rooms, including dirty air conditioners, stained walls, and dirty fixtures.
    • 42 CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    01 Jul 2022Revisit
    Concluded compliance with required standards after a follow-up review.
    01 Jul 2022Complaint
    Investigated a complaint and found ongoing noncompliance due to deficiencies cited on a prior survey.
    01 Jul 2022Revisit
    Determined that the annual survey deficiencies were corrected by 6/30/22. Concluded that deficiencies from a follow-up investigation left the entity out of compliance.
    01 Jul 2022Complaint
    Investigated a complaint and found ongoing noncompliance from a prior survey.
    01 Jul 2022Revisit
    Found the annual survey deficiencies had been corrected, but there were ongoing issues identified in a compliance investigation that kept the facility out of compliance with minimum standards.
    01 Jul 2022Revisit
    Identified deficiencies from a compliance investigation and found continued non-compliance with Medicare/Medicaid participation after prior corrections.
    01 Jul 2022Revisit
    Investigated and found some deficiencies corrected since the prior survey, but remaining deficiencies from a compliance investigation left the operation out of compliance.
    01 Jul 2022Revisit
    Verified compliance with Medicare/Medicaid participation on follow-up. No deficiencies cited.
    01 May 2022Inspection
    Identified deficiencies in residents' rights and funds management, participation in care planning, daily living assistance, and transfer safety. Violations included withholding a resident's income allotment, insufficient ADL support, and unsafe transfer practices.
    • 45.17.2 Residents' RightsResidents' Rights and financial management
    • 45.21.2 Activities of daily livingADL assistance for daily care
    • 45.21.8 AccidentsSafety during transfers
    01 May 2022Complaint
    Investigated; found inadequate ADL assistance with showers for residents dependent on staff.
    • ADL Care Provided for Dependent Residents
    01 May 2022Inspection
    Investigated a complaint and found multiple deficiencies across resident participation, grievances, financial matters, significant changes, care planning, ADL support, safety equipment, catheter management, and infection control.
    • 483.10(c)(2)-(3)Right to participate in planning care
    • 483.10(f)(5)-(7)Resident groups and family groups; grievances
    • 483.10(f)(10)Protection/Management of Personal Funds
    • 483.20(b)(2)Significant Change in Status (MDS) after hospice enrollment
    • 483.21(b)(1)Comprehensive care plan
    • 483.24(a)(2)ADL care for dependent residents
    • 483.25(d)Free of accident hazards; supervision and devices
    • 483.25(e)Urinary and bowel continence care
    • 483.80Infection prevention and control
    01 May 2022Complaint
    Investigated for inadequate ADL assistance with showers; two residents did not consistently receive scheduled showers and documentation showed gaps in care.
    • 45.21.2Activities of daily living
    01 May 2022Inspection
    Identified several life-safety deficiencies, including obstructed exit egress, unprotected hazardous areas, and improper placement of hand sanitizer dispensers.
    • NFPA 101 Means of Egress - General; 18.2.1, 19.2.1, 7.1.10.1Means of Egress - General
    • NFPA 101 19.3.2.1Protection of hazardous areas / Smoke compartment integrity
    • NFPA 101 8.7.3.1; 18.3.2.6(11) or 19.3.2.6(11)Alcohol-Based Hand Rub Dispenser (ABHR) Placement
    01 May 2022Inspection
    Found no deficiencies cited during the review. The survey noted compliance with applicable safety requirements under the COVID-19 emergency waivers.
    01 May 2022Inspection
    Found no deficiencies.
    01 May 2022Inspection
    Confirmed compliance with emergency preparedness requirements; no deficiencies were cited.
    01 Jan 2022Complaint
    Investigated a fire-related accident where a resident used a cigarette lighter while on oxygen, causing severe burns and hospitalization due to inadequate supervision and safety measures.
    • 45.21.8Accidents
    01 Jan 2022Complaint
    Investigated a fire incident caused by a resident using a cigarette lighter while wearing oxygen; found supervision gaps and hazards that led to serious burns and hospitalization.
    • CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
    01 Nov 2021Revisit
    Verified that compliance with participation requirements was restored after a desk review of a prior complaint survey, with a recommendation to be back in compliance effective 11/20/2021.
    01 Nov 2021Revisit
    Determined that compliance was restored following a prior deficiency; the agency recommended placing back in compliance effective 11/20/21.
    01 Oct 2021Complaint
    Investigated a complaint about visitation rights and found that three residents had restricted access to visitors beyond what their rights allowed.
    • 45.17RESIDENTS RIGHTS
    01 Oct 2021Complaint
    Investigated complaint found that residents' right to visitation was not protected; visiting was limited to appointment slots with time restrictions despite no outbreak.
    • CFR 483.10(f)(4)Right to Receive/Deny Visitors
    01 Jun 2021Infection Control
    Found that complete information about COVID-19 was not reported to NHSN during a required seven-day period. This could affect public health reporting and monitoring.
    • 42 CFR 483.80(g)COVID-19 reporting
    01 Jun 2021Complaint
    Concluded no deficiencies cited after four complaint investigations.
    01 Jun 2021Complaint
    Concluded that no deficiencies were cited after four complaint investigations. The findings showed no evidence of neglect or poor quality of care.
    01 Jun 2021Complaint
    Found no deficiencies.
    01 Dec 2020Infection Control
    Investigated a resident privacy violation in which a video of a resident was posted on social media by staff.
    • 42 CFR 483.10(h)Privacy and Confidentiality
    01 Dec 2020Complaint
    Observed that non-certified nursing assistants provided direct resident care without appropriate supervision or certification on all units, with incomplete state testing and no clear policy governing their use.
    • 42 CFR 483.35(d)(4)-(6)Nurse Aide Registry Verification, Retraining
    01 Dec 2020Infection Control
    Found no deficiencies during a COVID-19 focused emergency preparedness survey.
    01 Dec 2020Infection Control
    Identified ongoing deficiencies from a prior COVID-19 focused infection control survey; no new observations related to infection control were noted.
    01 Dec 2020Complaint
    Determined no deficiencies related to emergency preparedness. The survey concluded compliance with applicable emergency preparedness requirements.
    01 Dec 2020Infection Control
    Verified compliance with COVID-19 focused emergency preparedness requirements; no deficiencies were cited.
    01 Nov 2020Infection Control
    Found no deficiencies. COVID-19 infection control measures were in compliance.
    01 Nov 2020Infection Control
    Determined compliance with emergency preparedness requirements.
    01 Oct 2020Infection Control
    Determined that no deficiencies were cited during a COVID-19 focused infection control review and related complaint investigations.
    01 Oct 2020Complaint
    Found no deficiencies after completing a COVID-19 focused infection control review and related complaint investigations.
    01 Jul 2020Infection Control
    Found no deficiencies related to emergency preparedness.
    01 Jul 2020Infection Control
    Found no deficiencies related to infection control during a COVID-19 focused review.
    01 Jun 2020Complaint
    Found no deficiencies. The complaint alleging neglect and inadequate grooming lacked supporting evidence.
    01 May 2020Infection Control
    Found no deficiencies and confirmed compliance with COVID-19 infection control requirements.
    01 May 2020Infection Control
    Found no deficiencies related to infection control during a Covid-19 focused survey.
    01 Jan 2020Complaint
    Investigated the complaint about sexual abuse and cold water; concluded substantial compliance and found no deficiencies.
    01 Jan 2020Complaint
    Found no deficiencies after investigating a sexual abuse complaint and cold water concerns.
    01 Nov 2019Complaint
    Investigated complaints related to patient rights and quality of care; found no deficiencies and determined substantial compliance.
    01 Nov 2019Complaint
    Investigated concerns related to patient rights and quality of care; the concerns were not substantiated and no deficiencies were found. The agency determined substantial compliance with Medicare/Medicaid participation.
    01 Aug 2019Complaint
    Investigated a complaint and found no deficiencies.
    01 Aug 2019Complaint
    Investigated a complaint; found no deficiencies.
    01 Jun 2019Complaint
    Found no deficiencies.
    01 Jun 2019Complaint
    Found no deficiencies related to the complaint of abuse/neglect. Determined substantial compliance with Medicare/Medicaid participation requirements.
    01 Apr 2019Inspection
    Found deficiencies in catheter care practices and related care planning, including lack of explicit infection-prevention instructions and unsafe cleansing methods.
    • CFR 483.21(b)(1)Comprehensive Care Plans
    • CFR 483.25(e)(1)-(3)Incontinence; Catheter care; UTI prevention
    01 Apr 2019Complaint
    Identified deficiencies during a recertification survey showing noncompliance with federal requirements for long-term care.
    01 Apr 2019Inspection
    Found no deficiencies.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Brandon Nursing & Rehab Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Brandon Nursing & Rehab Center directly. There is no cost for this service. We are compensated by the community you select.

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